Individual
JESSICA KROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 MAIN ST, SUITE 819, WORCESTER, MA 01608-1604
(508) 752-3969
Mailing address
340 MAIN ST, SUITE 819, WORCESTER, MA 01608-1604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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